arn14 feb. 2002 jsps visit showa university petronas twin tower – k.l.c.c

ARN14 Feb. 2002 JSPS visit Showa University

Petronas Twin Tower – K.L.C.C


School of Medical Sciences - USM


School of Medical Sciences - USM

Established in 1979

The main activities are: Teaching Patient care Research


Hospital USM

The Medical School is serviced by a 716-

bed teaching hospital functioning at

tertiary care level with international

standard facilities.


School of Medical Sciences – USMCourses Offered;

MD M.Med (16 specialities) M.Sc; Ph.D M.Sc (Sports Science),& (Sports

Medicine) Postgraduate Diploma in Medical

Therapeutics


MD Program

In general this program is taught with an integrated multidisciplinary approach, based on organ and system with emphasis on problem solving.


CurriculumThe program runs for 5 years and is divided into 3 phases; (with professional examinations at the end

of each phase)

Phase I - First year

Phase II - Second year

Third year

Phase III - Fourth year

Fifth year


Phase I Bioethics and Nursing – 1 week General Block – 5 weeks Haemopoeitic and lymphoid system – 2 weeks Musculo-skeletal system – 4 weeks Nervous system – 4 weeks Reproductive system – 1 week Gastrointestinal and nutrition – 4 weeks Endocrine system and metabolism – 3 weeks Cardiovascular system – 3 weeks Respiratory system – 2 weeks Urinary system – 2 weeks Host and environment 4 weeks First aid – 1 week


Phase II General Block Haemopoeitic and lymphoid system Reproductive system Musculo-skeletal system Psychological medicine Infectious disease Cardiovascular system Respiratory system Genito-urinary system Gastrointestinal system Endocrine system Nervous system

In phase II students are introduced to clinical clerkship, community and family case studies and will undergo 6 weeks of elective posting.


Phase III

General block lectures and Interdisciplinary activities

Clinical postings – Rotation through all clinical disciplines

Community and family case studies Elective (year 4)


Mode of teaching Formal lectures Small group discussions Problem-based learning Fixed learning module Self-study Seminars Interdisciplinary activities (symposium-like

presentations presented by students) Therapeutic ward round (problem-based) Clinical ward rounds


Co-curriculum

Wednesday afternoons are reserved for

co-curricular activities whereby students

are required to participate in uniformed

brigades like military cadets, sports or

socio-cultural activities and self-defence

art.


Teaching of pharmacology and therapeutics Phase I- Introduction- Autonomic pharmacology- Pharmacokinetics anf pharmacodynamics Phase II- Pharmacology teaching follows the blocks according

to system Phase III- Pharmacology teaching is given in the general block

lectures, interdisciplinary activities, seminars and therapeutic ward rounds.


2nd P-Drug workshop 1999 - Hieizan


Rational Use of Drugs - what are the Issues?

Assoc. Professor Haji Abd Rahman Noor

Departments of Pharmacology and Paediatrics

School of Medical Sciences

Universiti Sains Malaysia, Health Campus,

Kubang Kerian, Kelantan,

MALAYSIA


No. of physicians in the U.S. = 70,000

Accidental death caused by physicians per year

= 120,000

accidental death per physicians = 0.171

(source: U.S. Dept. of Health and Human Services)

cf.

No. of gun owners in the U.S. = 80,000,000

No. of accidental gun death per year = 1500

No. of accidental gun death per gun owner = 0.0000188

Statistically doctors are approximately 9000 more dangerous than gun owners.


Instrument left by a surgeon removed from patient’s abdomen


Rational Use of Drugs:

Are there any issues? Yes! Evidence – literature reference Activities by WHO Activities by individual countries


In Australia

National Medicines Policy is well established,

which includes Quality Use of Medicines

Quality Use of Medicines achieved by partnership approach with “medication team” concept involving doctors, pharmacists, nurses and consumers, based on the following principles;


R. Kausal et al – JAMA 2001;285:16;2114-2120

Conducted a study in 2 teaching hospitals in Boston to assess the rates of medication errors, adverse drug events and potential ADE’s in paediatric patients;


Kausal R. (cont).

10778 medication orders were reviewed:

616 (5.7%) showed medication errors

115 (1.1%) showed potential ADE’s

26 (0.24%) showed ADE’s ( 19% were preventable ).

The preventable ADE’s were similar to a previous study in adults but the potential ADE’s rate was 3 times higher.


Netherlands;

Medications that are initiated by specialists are continued by G.Ps.

G.Ps admit that their prescribing behaviour partly results from repeat prescriptions by specialists.

Communications between specialists and G.Ps are crucial.

arn14 feb. 2002 jsps visit showa university petronas twin tower – k.l.c.c

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